ENG20160331.pdfSTATUS: ISS
u"ATY OF EDMONDO
1215TH A VENUE NORTH - EDMONDS, WA 98020
PHONE: (425) 771-0220 - FAX: (425) 771-0221
*PERMIT MUST BE POSTED ON JOBSHE*
ENG2U
Permit Number: ENG20160331
Job Address: 301 CASPERS ST, EDMONDS
SNOHOMISH COUNTY PUD
P.O. BOX 1107
EVERETT, WA 98206
UGPrimary riser on pole.
SNOHOMISH'COUNTY PUD
P,,O, BOX 1107
EVERETT, WA 98206
(425) 670-3216
331
Expiration Date: 08/28/2017
Location: 301 CASPERS ST
ASSESSEDVALUE: $0,00 PROPERTY AREA: 0
SIDEWALK: ( OXO,) DURATION IN MONTHS: 0 FEE: $0„00 STREET DISRUPTION TRENCH CUT: ( 0 X 0')
PARKING: ( 0X0 ) DURATION IN MONTHS: 0 , FEE: $0,00- YEAR OF OVERLAY 0 FEE $0,00
ALLEY: ( 0X0 ) DURATION IN MONTHS: 0 FEE $0,,00
INDEMNITY- The Applicant has signed an application which states he/she holds the City of Edmonds harmless from injuries,
damages or claims ofany kind or description whatsoever, foreseen or unforeseen, that may be made against the City of Edmonds or
any ofils departments or employees, including but not limited to the defense ofany legal proceedings including defense costs and
attorney fees by reason ofgranting this permit.
THECONTRACTOR IS RESPONSIBLEFOR WORKMANSHIP AND MATERIALS FOR A PERIOD OF ONEYEAR FOLLOWING THEFINAL
INSPECTION AND ACCEPTANCE OF THE W ORK
• Traffic Control and public safety shall be in accordance with City regulations as required by the City Engineer. Every flagger,,must
be trained as required by (WAC) 296-155-305 and must have certification verifying completion of the required training in their
possesion.
• Restoration is to be in accordance with City codes. All street -cut trench work shall be, patched with asphalt or City approved
material prior to the end of the workday- NO EXCEPTIONS.
• Three sets of construction drawings of proposed work are required with the permit application.
CALL' DIALrA-DIG (1-800-424-5555) BEFORE ANY EXCAVATION
CALL FOR INSPECTION (425) 771-0220 EXT. 1326
24 HOUR NOTICEREQUIRED FOR ALL INSPECTION REQUESTS__
THIS APPLICATION IS NOTA PERMITUNTIL SIGNED BY THE CITY ENGINEER OR HIS/HER
SPACE PROVIDED,,
�L2�ca�iitCL
3 PAID, AND RECEIPT IS ACKNOWLEDGED IN
Printed:. Monday,, February 27,201
D FILE COPY ❑ INSPECTOR COPY F APPLICANT COPY
v 1,
AUG 16 2016
ROW PERMIT NO.: ENG (400
ISSUE DATE:
&-4
RIGHT-O&WAY COMTRUCTION
PERMIT APPLICATION
PROJECTNAM
E-
.\ -CONTACT:
CONTRACTOR: one #:
7-
Mailing A Address:
�10 Fax #:
State License #: eZ Q
Email #:
. ............. .
City Business License #: U Liability Insurance onded
ADDRESS OR INTERSECTION OF CONSTRUCTION:
ROW WORK, ASSOCIATED WITH TIEW FOLLOWING TYPE OF PROJECT:
Commcial —S i—vi—sio-n, City Project Traffic Control (Only)
O - T:-]
❑ Multi -Family 0 Single Family ❑ Other
r-1 EUC (PUD, VE RIZON, PSE,
COMCAST, OVWS.D):
Is,this permit part of a blanket permit? El Yes. N No
ANY ASSOCIATED PERMITS?�'JFBLD# ENG#'
. ........ .....
. . ............................. . .......
DESCRIPTION OF PROP-
OSED WORK, (Be SpeciHA2 _
fic):
A
CkA
WAS STREET OVERLAYE D WITHINTHELAST FIVE'
(�L)TAR�? YE S,_J_N0,Q.._Year:,'
'PAVEMENT CUT: El Yes 14 No
CONCRETE CUT: 0 Yes 56 No
If yes, indicate size of cut:, x
It yes, indicate size of eu t:
RIGHT-OF-WAY DURATION
AREA TOTAL
CLOSURE (NUMBER OF MONTHS)
Sidewalk 48 Hrs + LF. X LT . SF
---------
0
Alley 72 Hrs + LF X LF SF
Parlaing 72 Hrs + LF X LF SF
APPLICANT TO READ AND SIGN
*Traffic control and public safety shall be_in accordance with City regulations as required by the City
as;ta,li,eer. Every flagger must be trained as required by (WAC) 296-155-305 and must have certification
verifying completion of the required training in their possession.
*Restoration is to be in accordance with City codes and Standards. All street -cut trench work shall be
patched with asphalt or City approved material prior to the end of the workday — NO EXCEPTIONS.
Indemnity: The Applicant has signed an application which states he/she hold the City of
Edmonds harmless from injuries, damages or claims of any kind or description
whatsoever, foreseen or unforeseen, that maybe made against the City of Edmonds or.
any of its d partmerrts or employees, includhig defense costs and attorney fees by reason
of gf"anting this permit.
I have read the above statements and understand the permit requirements and acknowledge that I must
follow all requirements in order for the permit to be valid.
SIGNATURE
i ractor or Agent
NO WORK SHALL BEGIN PRIOR TO PERMIT ISSUANCE
I
ID
ro
4
z
0
04
E'.)
z
CJ
ILI
6+2
wyyo
Z) s Al
ui
1.
10
OR
Z
....... .
. ..... . . ....... -
I
ID
ro
4
z
0
04
E'.)
z
CJ
ILI
6+2
1.
10
OR
Z
LL
09
alo
10
0
I
ID
ro
4
z
0
04
E'.)
z
CJ
ILI
6+2
ROAD
ONS�Rt.PCT4tAN
AHEAD
(W30` 1) SEE OTE I
ONE LANE � »
ROAD
(W20-4) SEE NOTE 1
(WI27 A) SEE NOTE 1
30*
TABLE A
NOTE:
1, DISTANCE BETWEEN SIGNS SHALL
BE 100' FOR RESIDENTIAL
STREETS (25 MPH), AND
200' FOR ARTERIAL ROADWAYS
2. FLASHING BEACON SHALL BE
INSTALLED AT EACH SIGN FOR
NIGHT-TIME USE.
3. DISTANCES MAY VARY AS APPROVED
BY THE ENGINEER.
4. FLAGGERS REQUIRED TO CONTROL
TRAFFIC WHENEVER THE CONTRACTOR
MUST INTERRUPT TRAFFIC FLOW
TO ACCESS THE WORK SITE WITH
MATERIALS OR EQUIPMENT.
LEGEND:
CONE OR CHANNELIZING DEVICE
(SEE STD 7-14)
WORK -AREA
TRUCK WITH
FLASHING OR WITH
BEACON
30"
TAPER LENGTH
' (TABLE A)
I
SEE NOTE
SEE NOTE I
SEE NOTE 1
TRAFFIC CONTROL PLAN
f 2 LANE ROADWAY: ONE LANE CLOSED WITH
ALTERNATING ONE-WAY TRAFFIC AND FLAGGERS
(W230? A)
ONE LANE.
ROAD
4,%
, AD
(W20-4)
30'
ROAD
ONS T" TWN
AHEAD
(W20-1)
30'
PER LENGTH
SPEED
(FT)
CONE SPACING
(MPH)
OFFSET WIDTH.
ALONG TAPER
(FT)
10' 12'
25
100 120
25
30
150 180
30
35
200 240
35
40
270 320
40
45
450 540
45
NOTE:
1, DISTANCE BETWEEN SIGNS SHALL
BE 100' FOR RESIDENTIAL
STREETS (25 MPH), AND
200' FOR ARTERIAL ROADWAYS
2. FLASHING BEACON SHALL BE
INSTALLED AT EACH SIGN FOR
NIGHT-TIME USE.
3. DISTANCES MAY VARY AS APPROVED
BY THE ENGINEER.
4. FLAGGERS REQUIRED TO CONTROL
TRAFFIC WHENEVER THE CONTRACTOR
MUST INTERRUPT TRAFFIC FLOW
TO ACCESS THE WORK SITE WITH
MATERIALS OR EQUIPMENT.
LEGEND:
CONE OR CHANNELIZING DEVICE
(SEE STD 7-14)
WORK -AREA
TRUCK WITH
FLASHING OR WITH
BEACON
30"
TAPER LENGTH
' (TABLE A)
I
SEE NOTE
SEE NOTE I
SEE NOTE 1
TRAFFIC CONTROL PLAN
f 2 LANE ROADWAY: ONE LANE CLOSED WITH
ALTERNATING ONE-WAY TRAFFIC AND FLAGGERS
(W230? A)
ONE LANE.
ROAD
4,%
, AD
(W20-4)
30'
ROAD
ONS T" TWN
AHEAD
(W20-1)
30'
.0,
p
}_..
w9 w
in
¢Ih
--1.%: ,
UGND 13642
j44a r 1m
, i �oai#k W •�oo■ j4
v
Ld
0
a
w9 w
in
G
�3
_
¢Ih
--1.%: ,
UGND 13642
j44a r 1m
, i �oai#k W •�oo■ j4
v
Ld
0
a
in
G
�
_
Z
M1
TC n
�iri
(i
z
0)
'n
r
Z
o
m
¢Ih
--1.%: ,
UGND 13642
j44a r 1m
, i �oai#k W •�oo■ j4
v
Ld
0
42,80 9L- nv-60 :gjyo
�d cl 1
000; N ? 1
I I W
V)
Lu
—. �._.._____—__--_____-_...._—_____
s i
r
1 i F__I +H I
3 ^•� J✓�x3' , ,SII ••:1i 1 � O O ' i '`�E.. W
1 pia"
C'I :� H G
v °' p
,
;.
1 .,
0
r R SNOW �
ASpHALT
�JD <
d i o
J ` W
J
J •L_ H v ' K
d/ Ili � o
cn,° Cn 9�3 W O
Cha xa a y M ' WC
LLI
rr` f t J
I p
112
JfJyJ j �+i° IM.,,'11 O V)'...Rr
ui Lu
fp ..ter X
� �
W 'ha
r o o
Li 14 1
eti ro i o$
gos"$ Y'o� �}" +y�v t d w W z z
:9C ox0x
t �
Cl
Spy C1 t`L 1. �'I: 7 CA04
7
• ,.. cta W I I ,I E ,,,,yy
�wwW i �• � 1 `i � .,y � � J r